Apply Now

Physician Reviewer

Remote • Posted 5 days ago • Updated 3 days ago

Contract Independent

Contract W2

12 Months

No Travel Required

Remote

$120 - $125/hr

Fitment

Dice Job Match Score™

⭐ Evaluating experience...

Job Details

Skills

Physician
prior authorization
license

Summary

Job Description

Physician with an unrestricted license to practice as MD or DO in the US.

Summary:

Will review prior authorization requests for medical services to determine medical necessity.
All review and decisioning is performed via electronic review.
Will be required to be available for peer-to-peer reviews that may be requested based on negative action.
May be required to participate in a Fair Hearing should a negative action be appealed to explain the medical review process and decision making.
Supported by a Medical Director and a team of physicians doing similar work.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10304697
Position Id: 8970182
Posted 5 days ago

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Remote

•

23d ago

Responsibilities: Reviews medical records/case file, writes a reconsideration decision letter that is clear, concise, andimpartial and supports the determination made, and documents review.Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation,rulings, and policy.Responds to and ensures that all appeal issues raised by the beneficiary/patient, representative, andprovider/supplier have been addressed.Provides a fair and impartial decision based on cu

Easy Apply

Contract

Depends on Experience

Medical Record Review Associate (Bilingual English and French)

Remote or Hybrid in Beaverton, Oregon

•

6d ago

Title: Medical Record Review Associate (Bilingual English and French) Location: Beaverton, OR 97005 or Remote Employment Type: 6 plus month W2 contract, no C2C, no sponsorship available Overview Talent Groups is seeking a detail oriented and self directed Medical Record Review Associate to support clinical review operations. This role is ideal for candidates with a clinical background and experience reviewing medical records in both English and French, with a strong preference for Canadian Frenc

Easy Apply

Contract

20 - 25

Utilization Review Nurse

Remote

•

Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Role:Utilization Review Nurse Location: Baltimore MD(Remote) Type:Contract Job Descrip

Easy Apply

Contract

Depends on Experience

Utilization Management Coordinator

Remote

•

Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Role:Utilization Management Coordinator Location:Canton, MD (100% Remote) Type:3 Months

Easy Apply

Contract

Depends on Experience

Search all similar jobs

Physician Reviewer

Dice Job Match Score™

Job Details

Skills

Summary

Similar Jobs